The Functional Assessment of Chronic Illness Therapy-Fatigue Measure: Cross-Cultural Validation of an Arabic Version for Older Jordanians

Mohammad H. Abuadas, Zainab Albikawi, Osama Khoury

Abstract


Background: Numerous national and international nursing research studies have used the 13-item Chronic Illness Therapy Functional Assessment-Fatigue (FACIT-F) scale to measure the level of self-reported fatigue among the elderly population. Nonetheless, a culturally adapted Arabic version of the scale of the same quality was required to boost its use in Arabic-speaking nations. This study cross-culturally validated the Arabic version of the FACIT-F scale and tested its validity and reliability in an Arabic-speaking population.

Materials and Methods: We conducted the study among an elderly Jordanian population using a methodological cross-sectional approach. Using a cluster random selection technique, we randomly selected 250 older adults from a larger pool. We evaluated the scale’s validity, internal consistency, and acceptability. We analyzed the construct validity using both confirmatory and exploratory factor analysis.

Results: The Arabic version of FACIT-F was proven to be acceptable for the one-factor model in the elderly Jordanian population. Cronbach’s alpha coefficient for the Arabic FACIT-F was 0.95, which indicated good reliability. Evidence suggested that construct validity for the FACIT-F was generally quite acceptable.

Conclusions: With regard to evaluating fatigue in an older Jordanian population, the Arabic translations of the FACIT-F have been shown to be reliable and valid.



Keywords


Aged, fatigue, psychometrics, self-report, surveys and questionnaires

Full Text:

PDF

References


Zengarini E, Ruggiero C, Pérez-Zepeda MU, Hoogendijk EO, Vellas B, Mecocci P, et al. Fatigue: Relevance and implications in the aging population. J Exp Gerontol 2015;70:78-83.

Chen-Edinboro LP, Murray-Kolb LE, Simonsick EM, Ferrucci L, Allen R, Payne ME, et al. Association between non-iron-deficient anemia and insomnia symptoms in community-dwelling older adults: The Baltimore Longitudinal Study of Aging. J Gerontol Ser A 2018;73:5-380.

Wong WS, Fielding RJ. Prevalence of chronic fatigue among Chinese adults in Hong Kong: A population-based study. J Affect Disord 2010;127:56-248.

Junghaenel DU, Christodoulou C, Lai J-S, Stone A. Demographic correlates of fatigue in the US general population: Results from the patient-reported outcomes measurement information system (PROMIS) initiative. J Psychosom Res 2011;71:23-117.

Gander P, O’Keeffe K, Santos-Fernandez E, Huntington A, Walker L, Willis J. Fatigue and nurses’ work patterns: An online questionnaire survey. Int J Nurs Stud 2019;98:67-74.

Al Maqbali M, Hughes C, Gracey J, Rankin J, Hacker E, Dunwoody LJ, et al. Psychometric properties of the Arabic version of the functional assessment of chronic illnesses therapy–fatigue in Arabic cancer patients. J Pain Symptom Manag 2020;59:8-130.

Webster K, Cella D, Yost KJ. The functional assessment of chronic illness therapy (FACIT) Measurement System: Properties, applications, and interpretation. Health Qual Life Outcomes 2003;1:1-7.

Al-Shair K, Muellerova H, Yorke J, Rennard SI, Wouters EF, Hanania NA, et al. Examining fatigue in COPD: Development, validity and reliability of a modified version of FACIT-F scale. Health Qual Life Outcomes 2012;10:1-8.

Salsman JM, Beaumont JL, Wortman K, Yan Y, Friend J, Cella DJ. Brief versions of the FACIT-fatigue and FAACT subscales for patients with non-small cell lung cancer cachexia. Support Care Cancer 2015;23:1355-64.

Chandran V, Bhella S, Schentag C, Gladman D. Functional assessment of chronic illness therapy-fatigue scale is valid in patients with psoriatic arthritis. Ann Rheum Dis 2007;66:9-936.

Acaster S, Dickerhoof R, DeBusk K, Bernard K, Strauss W, Allen LF, et al. Qualitative and quantitative validation of the FACIT-fatigue scale in iron deficiency anemia. Health Qual Life Outcomes 2015;13:1-10.

Tennant KF, Takacs SE, Gau JT, Clark BC, Russ DW. A preliminary study of symptomatic fatigue in rural older adults. Aging Clin Exp Res 2012;24:30-324.

Boateng GO, Neilands TB, Frongillo EA, Melgar-Quiñonez HR, Young SL. Best practices for developing and validating scales for health, social, and behavioral research: A primer. Front Public Health 2018;6:20-149.

Bonomi A, Cella D, Hahn E, Bjordal K, Sperner-Unterweger B, Gangeri L, et al. Multilingual translation of the functional assessment of cancer therapy (FACT) quality of life measurement system. Qual Life Res 1996;5:20-309.

Eremenco SL, Cella D, Arnold BJ. A comprehensive method for the translation and cross-cultural validation of health status questionnaires. Eval Health Prof 2005;28:32-212.

Lynn M. Determination and quantification of content validity. Nurs Res 1986;35:382-6.

Joseph F, Barry JB, Rolph EA, Rolph EA. Multivariate Data Analysis. Pearson Prentice Hall; 2010.

Byrne BM. Structural Equation Modeling with Mplus: Basic Concepts, Applications, and Programming. Routledge; 2013.

Nunnally JC, Bernstein IH, and Berge JM. Psychometric Theory, (3rd ed.). New York, McGraw-Hill; 1967.

Ishikawa NM, Thuler LCS, Giglio AG, Baldotto CSdR, de Andrade CJC, Derchain SF. Validation of the Portuguese version of functional assessment of cancer therapy-fatigue (FACT-F) in Brazilian cancer patients. Support Care Cancer 2010;18:48-90.

Dapueto JJ, del Carmen Abreu M, Francolino C, Levin RJ. Psychometric assessment of the MSAS-SF and the FACIT-Fatigue scale in Spanish-speaking patients with cancer in Uruguay. J Pain Symptom Manag 2014;47:36-45.

Tennant KJ. Assessment of fatigue in older adults: The FACIT Fatigue Scale (version 4). Support Care Cancer 2015;23:55-64.

Coroiu A, Kwakkenbos L, Levis B, Hudson M, Baron M, Cella D, et al. The comparability of functional assessment of chronic illness therapy-fatigue scores between cancer and systemic sclerosis. J Scleroderma Relat Disord 2017;2:57-63.

Montan I, Löwe B, Cella D, Mehnert A, Hinz A. General population norms for the functional assessment of chronic illness therapy (FACIT)-fatigue scale. Value Health 2018;21:13-21.

Cella D. Manual of the Functional Assessment of Chronic Illness Therapy (FACIT Scales)-Version 4. Evanston, IL: Center on Outcomes.” Research and Education (CORE). Evanston Northwestern Healthcare and Northwestern University; 1997.

Butt Z, Lai J-S, Rao D, Heinemann AW, Bill A, Cella D. Measurement of fatigue in cancer, stroke, and HIV using the functional assessment of chronic illness therapy—fatigue (FACIT-F) scale. J Psychosom Res 2013;74:64-8.

Tinsley A, Macklin E, Korzenik J, Sands B. Validation of the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) in patients with inflammatory bowel disease. Aliment Pharmacol Ther 2011;34:1328-36.

Muszalik M, Kędziora-Kornatowska K, Kornatowski T. Functional assessment and health-related quality of life (HRQOL) of elderly patients on the basis of the functional assessment of chronic illness therapy (FACIT)-F questionnaire. Arch Gerontol Geriatr 2009;49:404-8.


Refbacks

  • There are currently no refbacks.